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Permit CITY OF TIGARD ELECTRICAL PERMIT 111- ° Permit #: ELC2013 -00398 e • : COMMUNITY DEVELOPMENT Date Issued: 07/16/2013 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S112AA00600 Jurisdiction: Tigard Site address: 6713 SW BONITA RD 200 Project: Central Distribution Subdivision: MILLMONT PARK Lot: 49 Project Description: (7) branch circuits for TI. Contractor: CAPITOL ELECTRIC CO INC Owner: WALTON CWOR NELSON 13 LLC . 11401 NE MARX STREET BY CTMT - WALTON RE TAX PORTLAND, OR 97220 • 4678 WORLD PARKWAY CIR ST LOUIS, MO 63134 PHONE: PHONE: 503 - 255 -9488 FAX: 503 - 257 -7121 FEES Quantity Description Date Amount 7 crt Branch Circuits wo /Purchase 07/16/2013 $100.70 Specifics: Service or Feeder 1 ea 12% State Surcharge - 07/16/2013 $12.08 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $112.78 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OA 52- -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: � Permittee Signature: ()Ai (9-,/e / e OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' Date: LICENSE NO. Call 603.639.4176 by 7:00 a.m. for the next available inspection date. This permit card shall be kept In a conspicuous place on the Job site until completion of the project. Approved plans are required on the Job site at the time of each Inspection. 07/11/2013 14:51 5032577121 CAPITOL ELECTRIC PAGE 02/02 . EI ,:<,It111�1 1( 1. 'Isl.: t1 ►., Electrical P Application eeetvc• EG / 3003' City ofT d DateBy:7 /G i ii eRrtit no.: galas SW instill B lvd., Tigard, OR 47223 JUL 1 . x V Plan Review Other Permit: Pa / 3 -oa o fig - < ` Phone: 503,639.4171 Pax: 503.598.1960 Date/By: D Date Ready/By: ❑ se. P Inspection Line: 503.639.4175 . CITY OF rTIGA 2 for T i n I n 'CITY lnrannnWro Internet; tutvw ttgard -or go , „ ` � ..: �� , ' + . �r LDINGDN ISI ON N } T � 4 r. - r . r *•.^,^.� p r. ^� -' 4� ; r ti 1.. rt ,.`. tibl rr 1 :'' i . 1 ,�: =.A. Iii la�o_r .. L.:r �, cy .,�nvr.: F1R .....� {, � i r3 , � yf�r 7 � � �. ...E _r�l::xr _.S� ,.r „ a te...,. , ❑ New construction ❑ Addition /altcrationhe laccmcnt Please cheek a1 that apply (submit p, sets of plans w/Items checked below): ❑ Demolition ❑ Other ❑ Service or feeder 400 amps or more ❑ Building over three stories 1 _ M , 1 "iak=Wh* "`x-•-- : -' � d%.i i` % U� � 4 �'"' T r ''""" "� °` r '= where the available fault current ❑ Marinas and boatyards ❑ 1- and 2- family dwelling [+] Commercial /industrial 0 Aeccasory building exceeds 10,000 amps at 150 volts or ❑ Floating buildings ❑ Multi (hurl ❑ Master Builder ❑ Other lase to ground, or exceeds 14,000 D Commercial-use agricultural , 49. ' i Iai.yn, g;:, .^::•2 nR. a,';J, •Z-•'? .. Y : ::i:l - :" i % e f. , µ ` 1. ::" amps for all other lnstal136one. bultdinge ❑ Flre Pump 0 Installation of 75 KVA or Tab no,: 131206 Job site address; 6713 Bonita Rd ❑ Emergency system larger separately derived system. ❑ Addition of new motor load of ❑ "A° °E" "1-2" "1.3" City /Stnte/7,TP: Tigard OR 100HP or more. ❑ occupancy ❑ Six or moro residential units ❑ Recreational vehicle parks, Suite /bldg, /apt. no.: 200 Project name: PCC Central Distribution ❑ Health-care facilities ❑ Supply voltage for more than Cross Street/Directions to job site: • ❑ 1.1a7ardous locations 600 volts nominal, 0 Service or feeder 600 am • s or more .ti s •w . ; r . 4 � :: , ;=. - J izL?l - :.. - , , - 1;` , 5. w� 7 v.*,:AL• .:4eT:r...r7 ,tt: _ Subdivision Lot n0.: Demi ti on Qty. Few Teal Tax ma -bared no New residential = singic or multi = family dwelling unit ^ -3= , 3 I + ; <, a � ` , L Includes attached :. • en' e. `� ��- iT:i�id�- , °'..s� .,!t �-.: t....).,.\ it a _.to �.e.../..etiY.... �L. .,..'i•.i: i � Tenant Tm •rOvernent 1000 s• . ft. or less $ 168.54 ZINI En Add15005.. ft or •rtion $ 33.92 111111 ' 5 1 - r `J 5' . fir ....: 'd- `- Limited "erg' residential r© 4 rdx: �t ^�L'lu+ _- • T�_...:,} .F.f -�..r. :5� . ti with above • , ft. S 75.00 Name; Limited energy, multi - family residential with above ft. - S 75,00 Pil Address: Service or feeders tnstafatlan• alteration, and /or relocation _ 200 am • s or less S 100,70 2 City /Statc/ZIP; 201 am. a to 400 am : $ 133.56 mins 401 am -. to 690 am -.. IIIM S 200.34 . OEM Phone: Fax 601 am to 1000 am a 11.111111 5 301.04 © (Avner Installation: This installation is being made on property that town which is not Over 1000 amps or volts S 552.26 2 intended for sale, lease, rent or exchange, according to ORS 447, 449, 670. and 701 Temporary services or feeders Installation, alteration, and/or Owner signature; Date: relocation S 59,36 1 200 am • or less ' •r = 7• ;d�Ll •f.ee:, ∎ +�r a ,f x �'Ti �J '" ' ,E,:e Tb9 .1%� c' .75 , + . • 201 am • s to 400 am 3 IM 125.08 �� rte _.. lh}- "�.�1J1..S. V F �.:.fl'lr..c�Il L�' i .Ail•.V .A.L �...L�ta%:�: 401 am•s to 599 amps _ 1 168.54 -11E11 Busincca Name: Branch circuits - new, alteration, or extension, per anal A. Fee fbr branch circuits with Contact name: service or feeder fcc, each . branch circuit S 7,42 Address; _ 13. Fec far branch circuits without service or lbedcr fcc, City/State/ZIP: first branch circuit 1 5 56.1.8 66.16 Each additional branch circuit C_ $ 7.42 44.62 2 Phone: Fax: Midcellencouslervlce or feeder not included) L mail, Each manufactured or modular • ::4&IV s 4 �W. n x x,,. µ.. r v,}, -�� ,. ' , Z .. -; S 67.84 2 • ., .`, Y�3�. � `�•••.nY+h'� •�� {i` {�„f�•�':J.j �.rf: . _� �. � e . - :: 1T��; �!>. a.. a� ..7�:1T:�7r�_`,- A`r.� Y!� •;C:o ,... ,. :, dWOilln_ service and or feeder Reconnect only MIN S 67, © Business Name: CAPITOL ELECTRIC CO., INC. Pum • or im: ation circle _ 5 67.84 Si • or outline li brie: - 5 67.84 - Contact name; Signal a t(s) or limited- energy � 67.84 el, alterations, or extension. Address: 11401 NE MARX ST. Each additional Inspection over allowable In any of the above Additional ins • • Lion 1 hr min 66,25/ hr City /Stnte/7,TP: PORTLAND, OR 97220 -1041 investigation (I hr mint EMI 66.25/hr - Industrial taut 1 hrinin Mil 78.18 / hr ON Phone: 603 - 2554488 Fax: 603-257.7121 inspections for which no fee is - 90.00/ hr �� CCB Lic.: 48748 JFlectricat • • 26 -496C Suprv. Lie.: 3132 -S ificall hated 1/2 hr min ] .1_ • �Yi ' lU70; 4 :, : al'•..� iEi�)1�7 i : l r +rr i' 1 ;;iLIPe7 �,- Suprv. Electrician signature, requir Subtotal: S 100.70 Print Name: Darro Date: 07 1/13 Plan review (25% of permit fee), n / . State aurchar•e 12% of •ermitfee : $ r`a ' Authorized signature: r1Z /� TOTAL PERMIT FEE: t • • 0 Print Name Derrell Ms permit epplieetten aspires it a permit 6 not obtained within i an /� d•ryn finer 11 hue been accepted es cnmMO_ pt , t OY . Number nrinvcctions per polmit allowed. I;leulldine ,,,,,, et..`•PcrmiNpp 1O/01/09 44a- 401ST(I i,is/rom veo 4/7'